International Journal of Community Based Nursing and Midwifery最新文献

{"title":"Effects of Husband Involvement in Prenatal Care on Couples' Intimacy and Postpartum Blues in Primiparous Women: A Quasi-Experimental Study.","authors":"Maryam Dehshiri,&nbsp;Zohreh Ghorashi,&nbsp;Seyede Maryam Lotfipur","doi":"10.30476/IJCBNM.2023.97739.2204","DOIUrl":"10.30476/IJCBNM.2023.97739.2204","url":null,"abstract":"<p><strong>Background: </strong>Husband involvement in prenatal care is a relatively new concept in Iran. This study aimed to determine the effects of husband involvement in prenatal care on couples' intimacy and postpartum blues in primiparous pregnant women.</p><p><strong>Methods: </strong>This quasi-experimental study was performed on 72 primiparous pregnant women with a gestational age of 20-36 weeks in Rafsanjan in 2021 (January to September). After convenience sampling, the participants were assigned to control (N=36) and intervention groups (N=36). Participants in the intervention group were accompanied by their husbands and received routine prenatal care and virtual training. Participants in the control group received routine prenatal care without husband involvement. The Unidimensional Relationship Closeness Scale was completed before the intervention and two weeks after delivery, and the postpartum blues Stein questionnaire was completed one week after delivery. Data were analysed through SPSS V. 22 and using independent two-sample t-test, paired t-test, chi-square, Fisher's exact tests, and Pearson correlation coefficient with a significance level of P<0.05.</p><p><strong>Results: </strong>The results showed that 5 women (15.20%) in the intervention group and 26 (72.20%) in the control group suffered from postpartum blues after intervention (P<0.001). There was no statistically significant difference in the mean of couples' intimacy between the two groups after the intervention (P=0.08), but the mean score of change in the couples' intimacy was significantly different across the two groups (P=0.01).</p><p><strong>Conclusion: </strong>Husband involvement in prenatal care seems to be able to reduce the incidence of postpartum blues but may possibly increase the couples' intimacy. Therefore, it can be suggested that midwives consider husband involvement in prenatal care.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 3","pages":"179-189"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/1b/IJCBNM-11-179.PMC10363268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Effect of Education Using Team-based Learning Method and Lecture Method on Controlling Diabetes in the Elderly: A Quasi-Experimental Study.","authors":"Tayebeh Mirzaei,&nbsp;Ali Ravari,&nbsp;Fatemeh Hosseini,&nbsp;Elham Hassanshahi","doi":"10.30476/IJCBNM.2023.97837.2210","DOIUrl":"10.30476/IJCBNM.2023.97837.2210","url":null,"abstract":"<p><strong>Background: </strong>Patient education is considered as an essential part of diabetes control. This research is conducted to compare the effect of education using team-based learning (TBL) method and lecture method on blood pressure (BP), serum levels of fasting blood sugar (FBS), glycosylated hemoglobin (HbA1c), and Body mass index (BMI) in the elderly with diabetes.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 61 elderly patients with type 2 diabetes in diabetes clinics in Rafsanjan, during October 2018 to January 2019. Patients were selected using simple random sampling. They were divided into two groups of TBL and lecture-based learning. For each group, educational content was presented through 2-hour sessions held once a week for 1 months. FBS, HbA1c, BMI, and BP were measured at baseline and 3 months after the intervention. Data were analyzed through SPSS 21, using Chi-square test, independent t-test, and paired t-test; A P-value<0.05 was considered as significant.</p><p><strong>Results: </strong>After the intervention, the TBL group had a significant decrease in systolic and diastolic BP compared to the lecture group (P<0.001). Before and 3 months after the intervention in the TBL group, there was a significant decrease between the means of FBS (P=0.01), HbA1c (P<0.001), and systolic and diastolic BP (P<0.001), but in the lecture group, only the systolic BP showed a significant decrease (P<0.001).</p><p><strong>Conclusion: </strong>TBL method had more effects on controlling diabetes type 2 in the elderly than the lecture method. It is suggested that health providers should consider TBL for the education of the elderly with diabetes.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 3","pages":"201-209"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/ce/IJCBNM-11-201.PMC10363271.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9915531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of <i>Salvia</i> Officinalis on Hot Flashes in Postmenopausal Women: A Systematic Review and Meta-Analysis.","authors":"Maryam Moradi, Vahid Ghavami, Azin Niazi, Fatemeh Seraj Shirvan, Saye Rasa","doi":"10.30476/IJCBNM.2023.97639.2198","DOIUrl":"10.30476/IJCBNM.2023.97639.2198","url":null,"abstract":"<p><strong>Background: </strong>The experience of hot flashes during menopause has a negative effect on quality of life and can cause disturbance in the workplace and disrupt daily activities. Phytoestrogens in <i>Salvia officinalis</i> reduce menopause symptoms due to their anti-dopaminergic effects. This study was conducted to systematically review and summarize the results of clinical trials on the effect of <i>Salvia officinalis</i> on hot flashes in postmenopausal women.</p><p><strong>Methods: </strong>In this systematic review, databases including Pubmed, Web of Science, Cochrane library, Scopus, SID, and Magiran were searched using keywords such as menopause, hot flashes, <i>Salvia officinalis</i>, and herbal medicines; all possible combinations of these words were used with the Boolean operators of \"OR\" and \"AND\". To evaluate the quality of articles, we used Cochrane's Risk of bias tools.</p><p><strong>Results: </strong>After eliminating the duplicates, a total of 148 articles were found. Following the exclusion of irrelevant articles, 4 studies with number of 310 people were examined. Among them, 3 out of 4 studies examined the effect of <i>Salvia officinalis</i> on the frequency of hot flashes, 3 out of 4 studies examined the severity of hot flashes, and only 1 out of 4 studies examined the effect of <i>Salvia officinalis</i> on the duration of hot flashes. All 4 reviewed studies indicated that the use of <i>Salvia officinalis</i> reduced the frequency and severity of hot flashes in postmenopausal women. Meta-analysis results showed that the effect of Salvia Officinalis on the frequency [ES=-1.12 (%95 CI:-2.37; 0.14), I²=71%] of hot flashes in postmenopausal women was significant compared to placebo, but severity [ES=-2.05 (%95 CI:-6.53; 2.43), I²=70%] was not significant.</p><p><strong>Conclusion: </strong><i>Salvia officinalis</i> can be used to reduce the frequency of menopausal hot flashes. Expansive use of this plant can be suggested in case it is confirmed in further investigations.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 3","pages":"169-178"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/d0/IJCBNM-11-169.PMC10363264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers' and Midwives' Experiences of Maternal and Child Health Services during the COVID-19 Pandemic in Banggai, Indonesia: A Qualitative Study.","authors":"Andi Imam Arundhana Thahir,&nbsp;Sudirman Nasir,&nbsp;Andrew J Holmes,&nbsp;Mu Li,&nbsp;Adrienne Gordon","doi":"10.30476/IJCBNM.2023.97114.2187","DOIUrl":"10.30476/IJCBNM.2023.97114.2187","url":null,"abstract":"<p><strong>Background: </strong>Maternal and child health (MCH) services have been affected by the Coronavirus disease (COVID-19) pandemic in all countries, including Indonesia. Information regarding the impact of COVID-19 on MCH service access and provision is limited, particularly in the context of rural Indonesian communities. This study aimed to explore the experiences of Indonesian mothers and midwives from a rural regency regarding MCH services delivery during the pandemic.</p><p><strong>Methods: </strong>This study was a sub-study of a pre-existing cohort study conducted in four sub-districts in Banggai, Indonesia, as the qualitative research. This study was conducted from November 2020 to April 2021, involving 21 mothers and six midwives. We selected the participants using snowball sampling. In-depth interviews were conducted in Bahasa. The study used both deductive and inductive approaches for analysis. Data analysis was performed using NVivo v.12.</p><p><strong>Results: </strong>The study identified three themes and eight sub-themes from the analysis incorporating the midwives' and mothers' data. The themes included health service change, perceived barriers to service delivery, and family impact. This study highlights health service changes due to the pandemic, such as relocating the MCH services. Mothers perceived barriers to accessing health services, including distance reasons and fear of COVID-19. Only the shortages of staff affected the midwives in providing optimal services.</p><p><strong>Conclusion: </strong>The pandemic triggered health service changes and caused some barriers to service delivery. This study recommends that the local government and stakeholders should pay more attention to the health service changes according to the mothers' experiences and address barriers to optimize access to MCH services during the pandemic.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"96-109"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/3a/IJCBNM-11-96.PMC10126445.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial.","authors":"Shokooh Shahidi,&nbsp;Fatemeh Zargar,&nbsp;Hassan Aghaee Khajelangi,&nbsp;Mohmmad Javad Tarrahi","doi":"10.30476/IJCBNM.2023.97271.2172","DOIUrl":"10.30476/IJCBNM.2023.97271.2172","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSR-ACT) on QOL and HA of caregivers of patients infected by COVID-19.</p><p><strong>Methods: </strong>In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant.</p><p><strong>Results: </strong>The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004).</p><p><strong>Conclusion: </strong>Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses. <b>Trial Registration Number:</b> IRCT20180909040974N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"110-121"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/e3/IJCBNM-11-110.PMC10126443.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Women's Reasons for Choosing Home Birth with the Help of Their Untrained Family Members: A Qualitative Research.","authors":"Nila Kusumawati,&nbsp;Erlinawati Erlinawati,&nbsp;Yenny Safitri,&nbsp;Muhammad Nurman,&nbsp;Fitry Erlin","doi":"10.30476/IJCBNM.2023.97491.2186","DOIUrl":"10.30476/IJCBNM.2023.97491.2186","url":null,"abstract":"<p><strong>Background: </strong>Home births with the help of untrained family members continue to be women's preference in Indonesia. However, the practice has received very little attention. The purpose of this study was to explore women's reasons for choosing home births with the help of their untrained family members.</p><p><strong>Methods: </strong>This study used an exploratory-descriptive qualitative research approach and was conducted from April 2020 to March 2021 in Riau Province, Indonesia. A total of 22 respondents determined by data saturation was recruited using purposive and snowball samplings. The respondents consisted of 12 women who had at least one planned home birth with the help of their untrained family members, and 10 untrained relatives who had an experience in intentionally assisting their family member's home birth. Data were collected through semi-structured telephone interviews. Nvivo version 11 software was used for data analysis using the Graneheim and Lundman's content analysis.</p><p><strong>Results: </strong>13 categories and 4 themes emerged. The themes were living with fallacious beliefs in unassisted home childbirths, feeling of socially alienated from the surrounding communities, dealing with limited access to healthcare services, and escaping from childbirth-related stressors.</p><p><strong>Conclusion: </strong>Home birth with the help of untrained family members takes place because of not only limited access to healthcare services, but also women's personal beliefs, values, and needs. Designing culturally sensitive health education, ensuring culturally competent healthcare workers and services, overcoming healthcare access barriers, and improving the community's pregnancy and childbirth literacies are fundamental in reducing unassisted home births and promoting facility childbirths.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"72-84"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/8b/IJCBNM-11-72.PMC10126444.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Necessity of Implementing Clustered Care in Preterm Infants.","authors":"Marziyeh Avazeh,&nbsp;Nasib Babaei","doi":"10.30476/IJCBNM.2023.97945.2218","DOIUrl":"https://doi.org/10.30476/IJCBNM.2023.97945.2218","url":null,"abstract":"clustered","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"149-150"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/63/IJCBNM-11-149.PMC10126448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Providers' Perspectives on Quality Prenatal Care in High-risk Pregnancies: A Qualitative Study.","authors":"Solmaz Mohammadi,&nbsp;Kobra Shojaei,&nbsp;Elham Maraghi,&nbsp;Zahra Motaghi","doi":"10.30476/IJCBNM.2023.97603.2192","DOIUrl":"10.30476/IJCBNM.2023.97603.2192","url":null,"abstract":"<p><strong>Background: </strong>A high-risk pregnancy (HRP) is adversely affects the health of the mother, baby, or both. Most prenatal care research, rather than quality concepts, focuses on the adequacy of prenatal care and describes the emotional-psychological experiences of women with HRP. The main purpose of this study was to explore the perspectives of healthcare professionals regarding the quality of prenatal care for women with HRP.</p><p><strong>Methods: </strong>This qualitative study was conducted in three university hospitals and 12 comprehensive health centers in Ahvaz (Iran) from December 2020 to May 2021. In the present study, 10 midwives, 2 executive directors, and 7 specialists were purposefully selected with maximum diversity. In-depth semi-structured individual interviews were used to collect the data. Data were analyzed concurrently using Elo and Kinga's content analysis. The MAXQDA software version 10 was used for data analysis.</p><p><strong>Results: </strong>During data analysis, the 6 main categories \"infrastructure for care provision\", \"optimal clinical care\", \"organizing referrals\", \"preconception care\", \"risk assessment\", and \"family-centered care\" and 14 subcategories were identified.</p><p><strong>Conclusion: </strong>Our findings showed that professional groups focused on the technical aspects of caring. The findings from this study highlight several conditions that can affect the quality of prenatal care for women with HRP. Healthcare providers can use these factors to effectively manage HRPs, thereby improving pregnancy outcomes among women with HRPs.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"122-134"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/d2/IJCBNM-11-122.PMC10126442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives' Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study.","authors":"Vajihe Armanmehr,&nbsp;Elahe Banafshe,&nbsp;Haydeh Hashemizadeh,&nbsp;Ali Alami,&nbsp;Abdoljavad Khajavi","doi":"10.30476/IJCBNM.2023.97165.2169","DOIUrl":"https://doi.org/10.30476/IJCBNM.2023.97165.2169","url":null,"abstract":"<p><strong>Background: </strong>In Iran, the Natural Childbirth Promotion Program (NCPP) has been implemented as a component of the Health Transformation Plan (HTP) since 2014 and as an attempt to encourage natural childbirth practices and reduce cesarean section rates. The purpose of this qualitative study was to explore the perceptions of midwives about conditions influencing the implementation of NCPP.</p><p><strong>Methods: </strong>In this qualitative study, data were collected through 21 in-depth semi-structured individual interviews with expert midwives who were selected using purposive sampling mainly from one medical university in Eastern Iran from October 2019 to February 2020. Based on the framework method as a thematic analysis approach, the data were analyzed manually. To enhance the rigor of the study, we followed Lincoln and Guba's criteria.</p><p><strong>Results: </strong>Data analysis yielded 546 open codes. After the codes were reviewed and similar codes were removed, there remained 195 codes. Further analysis led to extraction of 81 sub-sub themes, 19 sub-themes, and eight main themes. These themes included: Responsive staff; Characteristics of the parturient; Recognition of midwifery role; Teamwork; The birthing environment; Effective management; Institutional and social context; and Social education.</p><p><strong>Conclusion: </strong>Based on the perceptions of the studied midwives, the success of the NCPP is guaranteed by a set of conditions identified in this study. In practice, these conditions are complementary and interrelated, and they cover a wide range of staff and parturient characteristics to the social context. It seems that effective implementation of the NCPP also calls for the accountability of all stakeholders, from policymakers to maternity care providers.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"135-148"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/b4/IJCBNM-11-135.PMC10126447.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Spiritual Self-care Intervention with a Blended Learning Approach on Anxiety in Women with Preterm Labor: A Randomized Controlled Trial.","authors":"Raziyeh Maasoumi,&nbsp;Farzaneh Dastaran,&nbsp;Fatemeh Faghihiniya,&nbsp;Shima Haghani,&nbsp;Shadi Sabetghadam","doi":"10.30476/IJCBNM.2023.96119.2106","DOIUrl":"10.30476/IJCBNM.2023.96119.2106","url":null,"abstract":"<p><strong>Background: </strong>One way of dealing with pregnancy-related anxiety is through women's beliefs. This study aimed to assess the effect of spiritual self-care blended learning on anxiety in women with preterm labor.</p><p><strong>Methods: </strong>A non-blinded and parallel randomized clinical trial was conducted in Kashan, Iran, from April to November 2018. In this study, 70 pregnant women with preterm labor were randomized to intervention and control groups (35 each) by flipping a coin. For the intervention group, spiritual self-care training was delivered through two face-to-face sessions and three offline sessions. The control group received routine mental healthcare. The data were collected using socio-demographic information and the Persian Short Form of the Pregnancy-Related Anxiety (PRA) Questionnaires. Participants filled out the questionnaires at baseline, immediately after the intervention, and four weeks after it. Chi-square, Fisher's exact test, independent t-tests, and repeated measures ANOVA were used to analyze the data. SPSS v.22 was used, with a significance level of P<0.05.</p><p><strong>Results: </strong>At baseline, the mean PRA scores in the intervention and control groups were 52.25±29.23 and 49.68±21.66, respectively (P=0.67). There were significant differences immediately after the intervention (28.02±12.13 and 51.42±20.99 in the intervention and control groups, respectively) (P<0.001), and four weeks post-intervention (25.45±10.44 and 52.17±21.13 in the intervention and control groups, respectively) (P<0.001); PRA was lower in the intervention group.</p><p><strong>Conclusion: </strong>Our results revealed the positive effect of spiritual self-care intervention on anxiety in women with preterm labor, so this intervention could be integrated into prenatal care.<b>Trial Registration Number:</b> IRCT20160808029255N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"85-95"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/ec/IJCBNM-11-85.PMC10126446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}